| Organization Name: | COLUMBIA LUTHERAN CHARITIES |
| NPI Number: | 1033469663 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | STEPHANIE BRENDEN (CFO) |
| Mailing Address: | 1639 Se Ensign Ln Suite B103 Warrenton |
| State: | OR US |
| Postal Code: | 971467308 |
| Phone Number: | 5033384500 |
| Fax Number: | 5033384501 |
| NPI Enumeration Date: | 09/11/2012 |
| NPI Last Update Date: | 08/06/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2300X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |